While surgery can remove a neuroma, there are many non-surgical approaches that we try first to help patients feel better.
What is Neuroma?
A neuroma (also called a Morton’s neuroma) is when a nerve in the ball of the foot becomes inflamed and painful. This is often as a result of increased pressure at the ball of the foot from shoes, certain exercise activities, or foot shape. This can result in pain, burning, swelling, or numbness in the ball of the foot or into the toes. It is often described as feeling like a wrinkle in the sock or a small pebble or stone under the ball of the foot.
It tends to get worse with activity, and get better with rest and removal of shoes.
- Pain in the forefoot or between the toes
- Tingling and numbness in the ball of the foot or in the toes
- Swelling or inflammation
- Pain at the ball of the foot
- The feeling that a pebble or stone is under the foot
What are the causes of a Neuroma?
- Irritation or pressure
- High-impact athletic activities
- Foot deformities such as hammertoes, bunions, high arches or flat feet
- High-heeled shoes, tight shoes
Nueromas can often be treated without surgery. To diagnose a neuroma, your doctor will perform a foot examination and may take an x-ray or perform a diagnostic injection. An ultrasound or MRI may also be ordered depending upon the response to the initial treatment plan.
Non-surgical treatment options include wearing shoes with a wider toe box, arch supports and padding, oral anti-inflammatory medication, activity modification, and even corticosteroid injection. If the neuroma does not respond to nonsurgical care, surgical removal may be recommended. Schedule an appointment with Dr. Kaufman at Anchorage Foot & Ankle Clinic to determine if you have a neuroma and to discuss the best treatment plan to manage your neuroma.